Individual provider Active NPI

Walter A Lajara-Nanson, M.D.

  • Neurology Physician
  • Great Falls, MT
National Provider Identifier
1528050283
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
75041 Issued in MT
Practice address
1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183
Phone
(406) 731-8888
Fax
(406) 731-8876
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L4510 TX
Neurology Physician 2084N0400X 75041 MT Primary

Addresses

Primary practice location

1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183

Mailing address

1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other identifiers 1

IdentifierTypeStateIssuer
100056860AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wlajarananson19517@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, MT, NE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050921000529 TX Practitioner - NeurologyPractitioner - Psychiatry 1951335736 Reassigns benefits to 2 organizations
I20070825000109 OK Practitioner - NeurologyPractitioner - Psychiatry 1951335736 Reassigns benefits to 2 organizations
I20190508001580 MT Practitioner - Neurology 1951335736 Reassigns benefits to 1 organization
I20210421000613 NE Practitioner - Neurology 1951335736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75041MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Sep 24, 2018 Accepting new patients
Grand Island Regional Medical Center CurrentSince Dec 25, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2021 Accepting new patients
Saints Medical Group, LLC Neurology CurrentSince Jan 1, 2021 Accepting new patients
Benefis Hospitals Inc CurrentSince Jun 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 10, 2021 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
Covenant Medical Group Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Ste 3
Great Falls, MT 59405

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

Interoperability endpoints

  • Direct secure messaging: wlajarananson19517@benefishs.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1528050283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 25TH STREET SOUTH",
            "address_2": "3RD FLOOR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 25TH STREET SOUTH",
            "address_2": "3RD FLOOR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJARA-NANSON",
        "first_name": "WALTER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L4510",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "75041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056860A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wlajarananson19517@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1401 25th Street South",
            "address_2": "3rd Floor",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.